| Lumberton Internal Medicine Group, Pa | |
|
4314 Ludgate St Lumberton NC 28358-2461 | |
| (910) 272-8800 | |
| (910) 272-0508 |
| Full Name | Lumberton Internal Medicine Group, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4314 Ludgate St, Lumberton, North Carolina |
| Authorized Official Name and Position | Mac Adolph Montilus (PRESIDENT) |
| Authorized Official Contact | 9102728800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumberton Internal Medicine Group, Pa 4314 Ludgate St Lumberton NC 28358-2461 Ph: (910) 272-8800 | Lumberton Internal Medicine Group, Pa 4314 Ludgate St Lumberton NC 28358-2461 Ph: (910) 272-8800 |
| NPI Number | 1538109046 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 08/29/2011 |
| Medicare PECOS PAC ID | 6800848359 |
|---|---|
| Medicare Enrollment ID | O20080521000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538109046 | NPI | - | NPPES |
| 014KA | Other | NC | BCBS |
| 89014KA | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 97.01503 (North Carolina) | Primary |
| Provider Name | Tracy E Bullard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255334736 PECOS PAC ID: 1456324839 Enrollment ID: I20040813001060 |
| Provider Name | Ronald B Easley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730243445 PECOS PAC ID: 3971564782 Enrollment ID: I20041025000943 |
| Provider Name | Mac Montilus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922044791 PECOS PAC ID: 4880646348 Enrollment ID: I20080521000352 |
| Provider Name | Insaf Ally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750635801 PECOS PAC ID: 2769612738 Enrollment ID: I20180529002173 |
Southeastern Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Oakridge Blvd Ste A3, Lumberton, NC 28358 Phone: 910-738-1141 Fax: 910-738-6011 | |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 N Elm St, Lumberton, NC 28358 Phone: 910-671-5270 | |
Acme Medical Specialties, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4348 Fayetteville Rd, Lumberton, NC 28358 Phone: 910-739-5197 Fax: 910-739-5294 | |
Southerastern Health Mall Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2934 North Elm St., Suite B, Lumberton, NC 28358 Phone: 910-272-1175 Fax: 910-272-1176 | |
Pain Management Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4308 Ludgate St, Lumberton, NC 28358 Phone: 910-671-9298 Fax: 910-738-3764 | |
Southeastern Medical Clinic North Lumberton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Oakridge Blvd, Suite B-2, Lumberton, NC 28358 Phone: 910-272-3051 Fax: 910-738-3764 | |
Integrity Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2116 N Cedar St, Lumberton, NC 28358 Phone: 910-674-3030 Fax: 910-674-3051 |